Provider Demographics
NPI:1972842383
Name:ROSEANN DE FRANCO, MS, CCC-SLP, P.C.
Entity Type:Organization
Organization Name:ROSEANN DE FRANCO, MS, CCC-SLP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:DE FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:631-863-0192
Mailing Address - Street 1:45 NOWICK LN
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1237
Mailing Address - Country:US
Mailing Address - Phone:631-863-0192
Mailing Address - Fax:631-863-0192
Practice Address - Street 1:45 NOWICK LN
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1237
Practice Address - Country:US
Practice Address - Phone:631-863-0192
Practice Address - Fax:631-863-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006923252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency